Provider Demographics
NPI:1912263211
Name:HEMSTREET, SUSAN JANE (MA)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:JANE
Last Name:HEMSTREET
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ALUMNI DRIVE
Mailing Address - Street 2:HEALTH WATCH EAP - EXETER HOSPITAL
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833
Mailing Address - Country:US
Mailing Address - Phone:603-580-6689
Mailing Address - Fax:603-778-9176
Practice Address - Street 1:ONE HAMPTON ROAD
Practice Address - Street 2:HEALTH WATCH EAP
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833
Practice Address - Country:US
Practice Address - Phone:603-580-6689
Practice Address - Fax:603-778-9176
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH54106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist